Park Avenue Smiles, Dental Office of Carolyn R. Baldiviez, D.D.S.
ActiveCalifornia license 10910
License
- Licensed by
- Dental Board of California
- License number
- 10910
- Status
- Active (Current)
- First issued
- October 31, 2013
- Expires
- June 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Baldiviez Carolyn (43290)
Contact
111 E Park Avenue
Santa Maria, CA 93454
Santa Maria, CA 93454
Santa Barbara County